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Juntendo University

Debris left in IHBD may be a cause of postoperative stone formation

Published in Telemedicine Business Week, April 28th, 2004

Debris left in the intrahepatic bile ducts during cyst excision may be a cause of postoperative stone formation.

The "incidence, treatment, and implications of intrahepatic bile duct (IHBD) dilatation debris" was investigated in "42 patients with choledochal cyst treated over a recent 8-year period. Mean age at cyst excision was 6.9 years, and mean follow-up period was 5.4 years", wrote clinicians in Japan.

"Intraoperative endoscopy (IOE) was performed at the time of cyst excision using a pediatric cystoscope, which identified IHBD debris in 11/42 (26.2%), and massive debris in 4/42 (9.5%). In all cases, IHBD debris was successfully washed out with...

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